Individual provider Active NPI

Rebecca Deason, LPC, NCC

  • Professional Counselor
  • Farmington, MO
National Provider Identifier
1801663653
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2019035108 Issued in MO
Practice address
212 W Columbia St Ste B
Farmington, MO 63640-1700
Phone
(573) 315-3800
NPI assigned
Dec 11, 2023
Last updated
Dec 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2019035108 MO Primary

Addresses

Primary practice location

212 W Columbia St Ste B
Farmington, MO 63640-1700

Mailing address

403 Lee St
Park Hills, MO 63601-2247
Phone (573) 330-9676

Other names 1

  • Rebecca Weiss Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2019035108MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
McIntyre Psychological Services PastSince Dec 17, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1801663653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 LEE ST",
            "city": "PARK HILLS",
            "state": "MO",
            "postal_code": "636012247",
            "telephone_number": "573-330-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W COLUMBIA ST STE B",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401700",
            "telephone_number": "573-315-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEASON",
        "first_name": "REBECCA",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2019035108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "WEISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Farmington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.